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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Revenue:    
Total revenue $ 2,253.4 $ 1,890.6
Cost of revenue:    
Total cost of revenue 795.7 645.2
Gross profit 1,457.7 1,245.4
Operating expenses:    
Selling, general and administrative 563.4 491.5
Research and development 316.2 284.5
Total operating expenses 879.6 776.0
Income from operations 578.1 469.4
Interest and other income, net 90.4 69.1
Income before taxes 668.5 538.5
Income tax benefit (35.2) (8.9)
Net income 703.7 547.4
Less: net income attributable to noncontrolling interest in joint venture 5.3 2.5
Net income attributable to Intuitive Surgical, Inc. $ 698.4 $ 544.9
Net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in dollars per share) $ 1.95 $ 1.54
Diluted (in dollars per share) $ 1.92 $ 1.51
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in shares) 357.5 353.5
Diluted (in shares) 364.6 360.5
Other comprehensive income, net of tax:    
Unrealized gains (losses) on hedge instruments $ (10.4) $ 5.6
Unrealized gains (losses) on available-for-sale securities 29.1 (4.2)
Foreign currency translation gains 5.5 1.8
Employee benefit plan adjustments 0.1 (0.1)
Other comprehensive income 24.3 3.1
Total comprehensive income 728.0 550.5
Less: comprehensive income attributable to noncontrolling interest 5.4 2.1
Total comprehensive income attributable to Intuitive Surgical, Inc. 722.6 548.4
Corporate Joint Venture    
Operating expenses:    
Less: net income attributable to noncontrolling interest in joint venture 5.3 2.5
Product    
Revenue:    
Total revenue 1,890.4 1,577.1
Cost of revenue:    
Total cost of revenue 670.7 554.4
Service    
Revenue:    
Total revenue 363.0 313.5
Cost of revenue:    
Total cost of revenue $ 125.0 $ 90.8